Individual
BIANCA MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1633 FOREST RD APT 204, LA GRANGE PARK, IL 60526-1133
(909) 997-1690
Mailing address
1633 FOREST RD APT 204, LA GRANGE PARK, IL 60526-1133
(909) 997-1690
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IL
Other
Enumeration date
03/18/2026
Last updated
03/18/2026
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